Neiterman Elena, Bourgeault Ivy Lynn
McMaster University, Canada
University of Ottawa, Canada.
Health (London). 2015 Nov;19(6):615-34. doi: 10.1177/1363459314567788. Epub 2015 Jan 26.
This article examines the intersecting roles of gender, ethnicity, and professional status in shaping the experiences of internationally educated health professionals in Canada. The article is based on 140 semi-structured qualitative interviews with internationally trained nurses and physicians who came to Canada within past 10 years with the intention to practice their profession. Describing the challenging process of professional integration in Canada, our participants highlighted incidents of discrimination they experienced along the way. Although some of the participants from both professional groups experienced racial discrimination, the context of those experiences differed. Physicians rarely reported instances of discrimination in communication with patients or nurses. Instead, they were concerned with instances of discrimination within their own professional group. Nurses, on the other hand, reported discrimination at the hands of patients and their families as well as racialization by physicians, management, and other nurses. We conclude our article with a reflection on the role that gender and professional status play in shaping the experiences of ethnic discrimination of internationally educated health professionals.
本文探讨了性别、种族和职业地位在塑造加拿大国际教育背景的卫生专业人员经历方面的交叉作用。本文基于对140名国际培训护士和医生的半结构化定性访谈,这些人在过去10年内来到加拿大,打算从事他们的职业。在描述在加拿大职业融入的具有挑战性的过程时,我们的参与者强调了他们在此过程中所经历的歧视事件。虽然两个职业群体中的一些参与者都经历过种族歧视,但这些经历的背景有所不同。医生很少报告在与患者或护士沟通中存在歧视的情况。相反,他们关注的是自己职业群体内部的歧视情况。另一方面,护士报告了来自患者及其家属的歧视以及来自医生、管理层和其他护士的种族化现象。我们在文章结尾反思了性别和职业地位在塑造国际教育背景的卫生专业人员种族歧视经历方面所起的作用。